Endocrine oncology

Comprehensive Analysis of Mitotane-Related Adverse Events Using the Food and Drug Administration Adverse Event Reporting System

Endocr PractPublished Pharmacovigilance disproportionality analysis of the FDA Adverse Event Reporting System

Authors' conclusion

This study provides preliminary safety data on the practical application of mitotane, confirming some known adverse reactions and revealing other potential risks. These findings provide critical safety information for clinicians prescribing mitotane for the treatment of adrenocortical cancer.

Study context

Population
Adverse event reports with mitotane as the primary suspected drug, FDA Adverse Event Reporting System database since 2004
Participants
772 cases
Outcome
Mitotane-related adverse event signals
Methodological detailsreporting ratios, multi-item γ Poisson constrictors, proportional reporting ratios, Bayesian confidence propagation neural networks
  • Reporting ratios
  • Multi-item γ Poisson constrictors
  • Proportional reporting ratios
  • Bayesian confidence propagation neural networks

Main finding

As reported in the abstract

  • Positive signals for label-listed reactions: nausea, diarrhea, vomiting, dizziness, loss of appetite, adrenal insufficiency
  • Potential reactions not on label: fatigue, malignant tumor progression, ovarian cysts, chills, amnesia, Q-T interval prolongation on ECG
  • 21 433 114 adverse event reports retrieved

Original publication

Comprehensive Analysis of Mitotane-Related Adverse Events Using the Food and Drug Administration Adverse Event Reporting System. Endocr Pract. Published 19 November 2024. doi:10.1016/j.eprac.2024.11.007

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